NPI | 1851646202 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2017043919) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 289) |
101YP2500X Counselor, Professional (Licence: KS 2484) | |
Enumeration Date | 2012-07-20 |
Last Update Date | 2023-10-16 |